ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place a vibrating tuning fork on the top of the child's head. This is because the Weber's test involves placing a vibrating tuning fork on the midline of the patient's head to assess hearing acuity. In this test, the sound should be equally heard in both ears if the hearing is normal. Placing the tuning fork on the head allows for sound conduction through bone, which helps determine if there is a conductive or sensorineural hearing loss.
Choice A is incorrect as a выбираogram reading is not necessary for the Weber's test.
Choice C is incorrect as the tuning fork should be in contact with the head, not held away from the ears.
Choice D is incorrect as the Weber's test does not involve measuring how long the sound is heard.
Question 2 of 5
A nurse is receiving change-of-shift report for four clients. For which of the following clients should the nurse initiate seizure precautions?
Correct Answer: B
Rationale: The correct answer is B: A child who has bacterial meningitis. Seizure precautions should be initiated for this client due to the risk of seizures associated with meningitis. Bacterial meningitis can lead to increased intracranial pressure, inflammation of the brain, and potential neurological complications, all of which can trigger seizures. Seizure precautions are necessary to prevent injury during a seizure episode.
Incorrect options:
A: An infant with respiratory syncytial virus does not typically require seizure precautions as RSV primarily affects the respiratory system.
C: An infant with hypertrophic pyloric stenosis may not be at immediate risk of seizures unless there are complications.
D: A child with Kawasaki disease typically does not present with seizures as a primary symptom.
Question 3 of 5
A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Apply the patch prior to traveling. This is because transdermal scopolamine needs time to take effect before exposure to motion sickness triggers. Storing patches in the refrigerator (
A) is unnecessary and may affect the patch's efficacy. Placing the patch on the upper arm (
C) is incorrect as it should be applied behind the ear. Replacing a dislodged patch onto the same location (
D) is wrong because it may have lost its effectiveness.
Question 4 of 5
A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following adverse effects of the medication is the priority finding for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Irregular pulse. This is the priority finding to report because it could indicate a potentially serious cardiac side effect of risperidone. Irregular pulse can lead to serious complications like arrhythmias or cardiac arrest. Constipation (
A), visual disturbances (
B), and dry mouth (
C) are common side effects of risperidone but are not typically life-threatening or urgent. Reporting irregular pulse promptly allows for timely intervention to prevent serious cardiac events.
Question 5 of 5
A nurse is providing teaching to a group of clients about complementary and alternative therapies using herbs. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I can use chamomile tea to promote sleep"
Rationale: Chamomile is known for its calming properties and can help promote relaxation and improve sleep quality. This statement shows an understanding of using herbs for specific purposes, aligning with complementary and alternative therapies.
Summary of Incorrect
Choices:
B: Herbal medicines can interact with conventional medications, leading to potential adverse effects.
C: While ginger can help with nausea and inflammation, it is not typically used for headaches.
D: Herbal medicines are not regulated by the FDA, which can lead to variations in quality and safety.